| Jesse L. Ritvo, Md | |
|
132 Main St Montpelier VT 05602-3226 | |
| (802) 229-5115 | |
| Not Available |
| Full Name | Jesse L. Ritvo, Md |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 132 Main St, Montpelier, Vermont |
| Authorized Official Name and Position | Jesse L. Ritvo (OWNER) |
| Authorized Official Contact | 8022295115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse L. Ritvo, Md 132 Main St Montpelier VT 05602-3226 Ph: (802) 229-5115 | Jesse L. Ritvo, Md 132 Main St Montpelier VT 05602-3226 Ph: (802) 229-5115 |
| NPI Number | 1861797219 |
|---|---|
| Provider Enumeration Date | 01/17/2011 |
| Last Update Date | 01/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861797219 | NPI | - | NPPES |
| 1017550 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 042-0011952 (Vermont) | Primary |
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